An acute leukemia with two faces

A 5-year old girl visited the emergency ward complaining about fatigue and weight loss. The GP found a normocytic anemia (Hb 4,1 mmol/l). For children Hb ref-range is 6.0-9.0 mmol/L. The peripheral blood film showed a mild leucopenia (2, 7 x 10 9/l); a lymphocytosis and 1% erythroblasts. Due to the anemia, the patient received ...


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